RONALD L ELLISON (NPI# 1871501254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871501254 |
| Entity Type | Individual |
| Full Name | RONALD L ELLISON |
| Credential | PA |
| Practice Address |
352 Costa Mesa St Costa Mesa CA 92627-2355 |
| Practice Telephone | 7142939950 |
| Mailing Telephone | 7142939950 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10402 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
352 COSTA MESA ST |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790061208 | Nelae Jontue Keene | Physician Assistant | 2787 Bristol St Ste 210, Costa Mesa, CA 92626-5956 | 2011-10-28 |
| 1063894988 | Christina Thi Nguyen | Physician Assistant | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2015-06-27 |
| 1942627880 | Jennifer Sebastian | Physician Assistant | 3151 Airway Ave Ste G1, Costa Mesa, CA 92626-4624 | 2014-03-27 |
| 1528481199 | Andrea Paige Shandling | Physician Assistant | 3151 Airway Ave, Bldg T, Ste 3, Costa Mesa, CA 92626-4607 | 2014-02-01 |
| 1710329503 | Sara Coburn | Physician Assistant | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2013-07-23 |
| 1043575723 | Benjamin Charles Kaska | Physician Assistant | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2012-07-10 |
| 1477837862 | Tamara O'nan | Physician Assistant | 1190 W. Baker St, Ste 100, Costa Mesa, CA 92626-4105 | 2011-10-04 |
| 1427285949 | Roxana Reynafarje | Physician Assistant | 745 W 19th St Ste F, Costa Mesa, CA 92627-3536 | 2009-06-11 |
| 1003961749 | Jeremy Elkins | Physician Assistant | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2007-01-24 |
| 1093891061 | Tiffany Le | Physician Assistant | 700 W 19th St, Costa Mesa, CA 92627-3517 | 2006-10-31 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
Please comment or provide details below to improve the information on RONALD L ELLISON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.